Welcome to the wonderful word of Neuromuscular Reeducationsm
...The Soft Tissue Injury Solution!
What is Neuromuscular Reeducationsm or NMR?
Once there is fibrous healing these adhesions pull us out of a three dimensional orientation with gravity. As a muscle tendon begins to stretch and encounters an adhesion, the muscle contracts to prevent any further stretching and to protect the area involved.
The result is that the muscles involved are not as strong and the range of motion is limited in the involved joint. Adhesions can affect areas that are quite small, sometimes just a few muscle fibers, and other times there can be a number of areas like that scattered throughout a muscle group.
Freeing the adhesition is only part of the battle!
"Freeing the adhesion is only part of the battle," according to Dr. Levy. "Each person has a subtle, complex and unconscious perception of his or her own body. When you have pain and limitation of motion due to an injury, you adapt your body image to fit that limitation. This unconscious mental adaptation can often persists long after the injury has been resolved without the “Reeducation” part of the technique.” "It isn't enough to clear up a problem, we also have to convince the patients that the problem is gone. Otherwise, they persist in favoring the area that was causing them pain. Patients may often limp for several months after a hip or leg problem has been eliminated, so the most important part of the treatment is in making the patients aware so that they can adapt their new behavior to the new physical reality."
The "Reeducation" part of the technique is elegant in it's simplicity and efficacy and patients are back to their normal actities in short order.
This is accomplished by:
- working each involved joint through the fullest possible range of motion during each session after the Neuromuscular work and then
- sending a patient back to the activity that has been causing him or her the problem. As soon as possible to demonstrate that the problem has been resolved.
- The inhibitory feedback signals from the affected area prevent sufficient contracting or stretching to accomplish this, and
- The adhesions are not necessarily parallel to the muscle fibers and can lie any direction thereby restricting full range of motion.